JACOB LENHARDT MATHIS
Licensed Physician Controlled Substance
Illinois 336079065 Canceled
This Illinois license was held by JACOB LENHARDT MATHIS. The license is no longer active. It was granted on 03/29/2007 and expired on 07/31/2008
LICENSE DETAILS
- License Number: 336079065
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Canceled
- Date Granted: 03/29/2007 (about 17 years ago)
- Expiry Date: 07/31/2008 (almost 16 years ago)
LOCATIONS
A Address
Kentfield, CA 94904-2705